# GLENHAVEN CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glenhaven Retirement Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740313048
- **Authorized official:** MRS. GLENDA HAMILTON (ADMINISTRATOR)
- **Authorized official phone:** (405) 224-0909

## Contact information

- **Practice address:** 3003 W IOWA AVE, CHICKASHA, OK 73018-6026
- **Practice address phone:** (405) 224-0909
- **Practice address fax:** (405) 224-6975
- **Mailing address:** PO BOX 400, 3003 IOWA, CHICKASHA, OK 73023-0400
- **Mailing address phone:** (405) 224-0909
- **Mailing address fax:** (405) 224-6975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | CC2601-2601 | OK | — |
| 314000000X | Skilled Nursing Facility | CC2601-2601 | OK | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 03/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200061060A | — | OK |